STEPHANIE C WELCH (NPI# 1134464167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134464167 |
| Entity Type | Individual |
| Full Name | STEPHANIE C WELCH |
| Credential | PA |
| Practice Address |
5515 Cleveland Ave Stevensville MI 49127-9670 |
| Mailing Address |
5515 Cleveland Ave Suite 2 Stevensville MI 49127-9670 |
| Practice Telephone | 2694296604 |
| Practice Fax Number | 2694291715 |
| Mailing Telephone | 2694396604 |
| Mailing Fax Number | 2694291715 |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2015-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 56101006545 | MI | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006545 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1134464167 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063546877 | Stephanie Mcnabb Welch | Nurse Practitioner | 102 Airport Rd Ne, Milledgeville, GA 31061-9313 | 2007-03-15 |
| 1629685417 | Stephanie Welch | Counselor | 411 Chandler St, Worcester, MA 01602-3339 | 2020-09-25 |
| 1053837047 | Stephanie Marie Welch | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2017-08-21 |
| 1467905356 | Stephanie Welch | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2016-07-27 |
| 1932591781 | Stephanie Davidson Welch | Occupational Therapist | 120 Cavette Hill Ln, Farragut, TN 37934-6673 | 2015-03-02 |
| 1053669184 | Stephanie Ann Welch | Nurse Practitioner | 7920 Sam Furr Rd, Huntersville, NC 28078-8911 | 2012-08-21 |
| 1841487824 | Stephanie M. Welch | Dietitian, Registered | 1045 N 30th St, Billings, MT 59101-0733 | 2007-10-03 |
| 1992911523 | Stephanie Welch | Dietitian, Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2007-05-14 |
| 1184774192 | Stephanie Pepps Welch | Speech-Language Pathologist | 14207 Higgins Rd, San Antonio, TX 78217-1252 | 2007-01-11 |
| 1295841799 | Stephanie S Welch | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2006-08-21 |
| Street Address |
5515 CLEVELAND AVE |
| City | STEVENSVILLE |
| State | MI |
| Zip Code | 49127-9670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666501 | Deborah A Vliet | Nurse Practitioner | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 | 2006-02-06 |
| 1558801068 | Janelle M Cornforth | Nurse Practitioner | 5515 Cleveland Ave, Stevensville, MI 49127-9670 | 2017-03-02 |
| 1427433176 | Betsy Marie Becker | Nurse Practitioner | 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670 | 2015-07-23 |
| 1275968018 | Christin Nichole Adams | Social Worker | 5515 Cleveland Ave, Stevensville, MI 49127 | 2013-09-12 |
| 1417380221 | Jennifer D Williams | Nurse Practitioner | 5515 Cleveland Ave, Stevensville, MI 49127-9670 | 2013-08-15 |
| 1841630910 | Wendy L Hays | Nurse Practitioner | 5515 Cleveland Ave, Stevensville, MI 49127-9670 | 2013-07-03 |
| 1720349210 | Brian Facione | Internal Medicine | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 | 2012-05-31 |
| 1366746257 | Betty Karen Moore | Nurse Practitioner | 5515 Cleveland Ave, Stevensville, MI 49127-9670 | 2011-01-06 |
| 1598084691 | Ian Andrew Jackson | Family Medicine | 5515 Cleveland Ave, Stevensville, MI 49127-9670 | 2010-05-28 |
| 1326366816 | Lakeland Medical Practices | Clinic/Center | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404993 | Allison Kay Sobanski | Doula | 2802 Crownpoint Road, Stevensville, MI 49127 | 2018-07-24 |
| 1922525013 | Lavender and Sage Therapeutic Massage, LLC | Massage Therapist | 1816 West John Beers Rd, Stevensville, MI 49127 | 2017-08-29 |
| 1265962419 | Dr Melanie J Jones Optometrist PC | Optometrist | 5770 Cleveland Ave, Stevensville, MI 49127 | 2017-06-19 |
| 1417487018 | James Allen Organ | Registered Nurse | 2074 Joni Ln, Stevensville, MI 49127 | 2017-06-15 |
| 1114196086 | Tina W Latham-enix | Massage Therapist | 2634 West John Beers Rd., Stevensville, MI 49127 | 2008-02-26 |
| 1659578219 | Berrien County Cancer Service Inc | Prosthetic/Orthotic Supplier | 7301 Red Arrow Hwy, Stevensville, MI 49127 | 2007-06-28 |
| 1821207630 | Robert K Mcintyre | Psychologist | 7889 Red Arrow Hwy, Stevensville, MI 49127 | 2007-05-21 |
| 1265551642 | Carol Ann Shaver | Clinical Neuropsychologist | 5722 St Joseph Avenue, Stevensville, MI 49127 | 2007-03-28 |
| 1154431906 | James Bednar | Dentist | 5754 Red Arrow Highway, Stevensville, MI 49127 | 2006-08-30 |
| 1194830786 | David Anderson Siewert | Dentist | 5638 Cleveland Ave, Stevensville, MI 49127 | 2006-08-21 |
| Find all providers in zip 49127 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | STEVENSVILLE |
| Zip Code | 49127 |
Please comment or provide details below to improve the information on STEPHANIE C WELCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.